Trajectories of psychological distress among Chinese women diagnosed with breast cancer
Background: The distinct trajectories of psychological distress over the first year of the diagnosis with breast cancer (BC) and its determinants have not been explored. Methods: 285 of 405 Chinese women receiving surgery for BC were assessed at 5‐day, 1‐month, 4‐month, and 8‐month post‐surgery on m...
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| Veröffentlicht in: | Psycho-oncology (Chichester, England) England), 2010-10, Vol.19 (10), p.1044-1051 |
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| creator | Lam, Wendy W. T. Bonanno, George A. Mancini, Anthony D. Ho, Samuel Chan, Miranda Hung, Wai Ka Or, Amy Fielding, Richard |
| description | Background: The distinct trajectories of psychological distress over the first year of the diagnosis with breast cancer (BC) and its determinants have not been explored.
Methods: 285 of 405 Chinese women receiving surgery for BC were assessed at 5‐day, 1‐month, 4‐month, and 8‐month post‐surgery on measures of psychological distress, optimism, treatment decision‐making (TDM) difficulties, satisfaction with treatment outcome, satisfaction with medical consultation, and physical symptom distress. Latent growth mixture modelling identified trajectories of psychological response to BC. Multinominal logistic regression compared TDM difficulties, satisfaction with treatment outcome, satisfaction with medical consultation, optimism, and physical symptom distress, by distress pattern adjusted for age, education, employment status, and stage of disease.
Results: Four distinct trajectories of distress were identified, namely, resilience (66%), chronic distress (15%), recovered (12%), and delayed‐recovery (7%). TDM difficulties, optimism, satisfaction with consultation, and physical symptom distress predicted distress trajectories. Psychologically resilient women had less physical symptom distress at early post‐surgery compared with women with other distress patterns. Compared with the resilient group, women in the recovered or chronic distress groups experienced greater TDM difficulties, whereas women in the delayed‐recovery group reported greater dissatisfaction with the initial medical consultation. Women in the chronic distress group reported greater pessimistic outlook.
Conclusion: Optimism and better early post‐operative treatment outcomes predicted resilience to distress. Pre‐operative interventions helping women to establish a realistic expectation of treatment outcome may minimize disappointment with treatment outcome and resultant distress, whereas post‐operative rehabilitation should focus on symptom management. Copyright © 2009 John Wiley & Sons, Ltd. |
| doi_str_mv | 10.1002/pon.1658 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_850452347</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>772259125</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4838-b2afc4453f425a77caab271bd1e2f74bc073aa02770a0c39a6e8b1de2b7ce9913</originalsourceid><addsrcrecordid>eNqF0V1rFDEUBuAgiq1V8BdI8EZvps3nZHKpi9ZCaRWq9S6cyZzZnXVmsiazrPvvzXbXXgilVzmQhxfOeQl5zdkpZ0ycrcJ4yktdPSHHnFlb8JLzp7tZm8IKZY_Ii5SWjGVsy-fkSORRMaOOye1NhCX6KcQOEw0tXaWtX4Q-zDsPPW26NEVMicIQxjmdLboRE9JNGHDMnzAfQ8KGbrppQeuIkCbqYfQYX5JnLfQJXx3eE_L986eb2Zfi8vr8YvbhsvCqklVRC2i9Ulq2SmgwxgPUwvC64Shao2rPjARgwhgGzEsLJVY1b1DUxqO1XJ6Qd_vcVQy_15gmN3TJY9_DiGGdXKWZ0kIq86g0RghtudCPS10Kaysps3z7n1yGdRzzwneIiXzljN7vkY8hpYitW8VugLh1nLldfS7X53b1ZfrmkLeuB2zu4b--Mij2YNP1uH0wyH29vjoEHnzuEf_ce4i_XGmk0e726tzNePnjG_v40xn5F9BDsmk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>756202140</pqid></control><display><type>article</type><title>Trajectories of psychological distress among Chinese women diagnosed with breast cancer</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Lam, Wendy W. T. ; Bonanno, George A. ; Mancini, Anthony D. ; Ho, Samuel ; Chan, Miranda ; Hung, Wai Ka ; Or, Amy ; Fielding, Richard</creator><creatorcontrib>Lam, Wendy W. T. ; Bonanno, George A. ; Mancini, Anthony D. ; Ho, Samuel ; Chan, Miranda ; Hung, Wai Ka ; Or, Amy ; Fielding, Richard</creatorcontrib><description>Background: The distinct trajectories of psychological distress over the first year of the diagnosis with breast cancer (BC) and its determinants have not been explored.
Methods: 285 of 405 Chinese women receiving surgery for BC were assessed at 5‐day, 1‐month, 4‐month, and 8‐month post‐surgery on measures of psychological distress, optimism, treatment decision‐making (TDM) difficulties, satisfaction with treatment outcome, satisfaction with medical consultation, and physical symptom distress. Latent growth mixture modelling identified trajectories of psychological response to BC. Multinominal logistic regression compared TDM difficulties, satisfaction with treatment outcome, satisfaction with medical consultation, optimism, and physical symptom distress, by distress pattern adjusted for age, education, employment status, and stage of disease.
Results: Four distinct trajectories of distress were identified, namely, resilience (66%), chronic distress (15%), recovered (12%), and delayed‐recovery (7%). TDM difficulties, optimism, satisfaction with consultation, and physical symptom distress predicted distress trajectories. Psychologically resilient women had less physical symptom distress at early post‐surgery compared with women with other distress patterns. Compared with the resilient group, women in the recovered or chronic distress groups experienced greater TDM difficulties, whereas women in the delayed‐recovery group reported greater dissatisfaction with the initial medical consultation. Women in the chronic distress group reported greater pessimistic outlook.
Conclusion: Optimism and better early post‐operative treatment outcomes predicted resilience to distress. Pre‐operative interventions helping women to establish a realistic expectation of treatment outcome may minimize disappointment with treatment outcome and resultant distress, whereas post‐operative rehabilitation should focus on symptom management. Copyright © 2009 John Wiley & Sons, Ltd.</description><identifier>ISSN: 1057-9249</identifier><identifier>EISSN: 1099-1611</identifier><identifier>DOI: 10.1002/pon.1658</identifier><identifier>PMID: 20014074</identifier><identifier>CODEN: POJCEE</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Adaptation, Psychological ; Adult ; Asian Continental Ancestry Group - psychology ; Asian people ; Breast cancer ; Breast Neoplasms - diagnosis ; Breast Neoplasms - ethnology ; Breast Neoplasms - psychology ; Breast Neoplasms - surgery ; Chinese women ; Clinical outcomes ; Consultation ; Decision Making ; distress ; Emotional disorders ; Female ; Follow-Up Studies ; Hong Kong ; Humans ; Illness Behavior ; Logistic Models ; Mastectomy - psychology ; Medical diagnosis ; Middle Aged ; Models, Statistical ; Oncology ; Optimism ; Physical symptoms ; Psychological distress ; Psychometrics - statistics & numerical data ; Regression analysis ; resilience ; Resilience, Psychological ; Stress, Psychological - ethnology ; Treatment Outcome ; Women ; Womens health</subject><ispartof>Psycho-oncology (Chichester, England), 2010-10, Vol.19 (10), p.1044-1051</ispartof><rights>Copyright © 2009 John Wiley & Sons, Ltd.</rights><rights>Copyright John Wiley and Sons, Limited Oct 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4838-b2afc4453f425a77caab271bd1e2f74bc073aa02770a0c39a6e8b1de2b7ce9913</citedby><cites>FETCH-LOGICAL-c4838-b2afc4453f425a77caab271bd1e2f74bc073aa02770a0c39a6e8b1de2b7ce9913</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpon.1658$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpon.1658$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27907,27908,30982,30983,45557,45558</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20014074$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lam, Wendy W. T.</creatorcontrib><creatorcontrib>Bonanno, George A.</creatorcontrib><creatorcontrib>Mancini, Anthony D.</creatorcontrib><creatorcontrib>Ho, Samuel</creatorcontrib><creatorcontrib>Chan, Miranda</creatorcontrib><creatorcontrib>Hung, Wai Ka</creatorcontrib><creatorcontrib>Or, Amy</creatorcontrib><creatorcontrib>Fielding, Richard</creatorcontrib><title>Trajectories of psychological distress among Chinese women diagnosed with breast cancer</title><title>Psycho-oncology (Chichester, England)</title><addtitle>Psycho-Oncology</addtitle><description>Background: The distinct trajectories of psychological distress over the first year of the diagnosis with breast cancer (BC) and its determinants have not been explored.
Methods: 285 of 405 Chinese women receiving surgery for BC were assessed at 5‐day, 1‐month, 4‐month, and 8‐month post‐surgery on measures of psychological distress, optimism, treatment decision‐making (TDM) difficulties, satisfaction with treatment outcome, satisfaction with medical consultation, and physical symptom distress. Latent growth mixture modelling identified trajectories of psychological response to BC. Multinominal logistic regression compared TDM difficulties, satisfaction with treatment outcome, satisfaction with medical consultation, optimism, and physical symptom distress, by distress pattern adjusted for age, education, employment status, and stage of disease.
Results: Four distinct trajectories of distress were identified, namely, resilience (66%), chronic distress (15%), recovered (12%), and delayed‐recovery (7%). TDM difficulties, optimism, satisfaction with consultation, and physical symptom distress predicted distress trajectories. Psychologically resilient women had less physical symptom distress at early post‐surgery compared with women with other distress patterns. Compared with the resilient group, women in the recovered or chronic distress groups experienced greater TDM difficulties, whereas women in the delayed‐recovery group reported greater dissatisfaction with the initial medical consultation. Women in the chronic distress group reported greater pessimistic outlook.
Conclusion: Optimism and better early post‐operative treatment outcomes predicted resilience to distress. Pre‐operative interventions helping women to establish a realistic expectation of treatment outcome may minimize disappointment with treatment outcome and resultant distress, whereas post‐operative rehabilitation should focus on symptom management. Copyright © 2009 John Wiley & Sons, Ltd.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Asian Continental Ancestry Group - psychology</subject><subject>Asian people</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - diagnosis</subject><subject>Breast Neoplasms - ethnology</subject><subject>Breast Neoplasms - psychology</subject><subject>Breast Neoplasms - surgery</subject><subject>Chinese women</subject><subject>Clinical outcomes</subject><subject>Consultation</subject><subject>Decision Making</subject><subject>distress</subject><subject>Emotional disorders</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hong Kong</subject><subject>Humans</subject><subject>Illness Behavior</subject><subject>Logistic Models</subject><subject>Mastectomy - psychology</subject><subject>Medical diagnosis</subject><subject>Middle Aged</subject><subject>Models, Statistical</subject><subject>Oncology</subject><subject>Optimism</subject><subject>Physical symptoms</subject><subject>Psychological distress</subject><subject>Psychometrics - statistics & numerical data</subject><subject>Regression analysis</subject><subject>resilience</subject><subject>Resilience, Psychological</subject><subject>Stress, Psychological - ethnology</subject><subject>Treatment Outcome</subject><subject>Women</subject><subject>Womens health</subject><issn>1057-9249</issn><issn>1099-1611</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqF0V1rFDEUBuAgiq1V8BdI8EZvps3nZHKpi9ZCaRWq9S6cyZzZnXVmsiazrPvvzXbXXgilVzmQhxfOeQl5zdkpZ0ycrcJ4yktdPSHHnFlb8JLzp7tZm8IKZY_Ii5SWjGVsy-fkSORRMaOOye1NhCX6KcQOEw0tXaWtX4Q-zDsPPW26NEVMicIQxjmdLboRE9JNGHDMnzAfQ8KGbrppQeuIkCbqYfQYX5JnLfQJXx3eE_L986eb2Zfi8vr8YvbhsvCqklVRC2i9Ulq2SmgwxgPUwvC64Shao2rPjARgwhgGzEsLJVY1b1DUxqO1XJ6Qd_vcVQy_15gmN3TJY9_DiGGdXKWZ0kIq86g0RghtudCPS10Kaysps3z7n1yGdRzzwneIiXzljN7vkY8hpYitW8VugLh1nLldfS7X53b1ZfrmkLeuB2zu4b--Mij2YNP1uH0wyH29vjoEHnzuEf_ce4i_XGmk0e726tzNePnjG_v40xn5F9BDsmk</recordid><startdate>201010</startdate><enddate>201010</enddate><creator>Lam, Wendy W. T.</creator><creator>Bonanno, George A.</creator><creator>Mancini, Anthony D.</creator><creator>Ho, Samuel</creator><creator>Chan, Miranda</creator><creator>Hung, Wai Ka</creator><creator>Or, Amy</creator><creator>Fielding, Richard</creator><general>John Wiley & Sons, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201010</creationdate><title>Trajectories of psychological distress among Chinese women diagnosed with breast cancer</title><author>Lam, Wendy W. T. ; Bonanno, George A. ; Mancini, Anthony D. ; Ho, Samuel ; Chan, Miranda ; Hung, Wai Ka ; Or, Amy ; Fielding, Richard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4838-b2afc4453f425a77caab271bd1e2f74bc073aa02770a0c39a6e8b1de2b7ce9913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Asian Continental Ancestry Group - psychology</topic><topic>Asian people</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - diagnosis</topic><topic>Breast Neoplasms - ethnology</topic><topic>Breast Neoplasms - psychology</topic><topic>Breast Neoplasms - surgery</topic><topic>Chinese women</topic><topic>Clinical outcomes</topic><topic>Consultation</topic><topic>Decision Making</topic><topic>distress</topic><topic>Emotional disorders</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hong Kong</topic><topic>Humans</topic><topic>Illness Behavior</topic><topic>Logistic Models</topic><topic>Mastectomy - psychology</topic><topic>Medical diagnosis</topic><topic>Middle Aged</topic><topic>Models, Statistical</topic><topic>Oncology</topic><topic>Optimism</topic><topic>Physical symptoms</topic><topic>Psychological distress</topic><topic>Psychometrics - statistics & numerical data</topic><topic>Regression analysis</topic><topic>resilience</topic><topic>Resilience, Psychological</topic><topic>Stress, Psychological - ethnology</topic><topic>Treatment Outcome</topic><topic>Women</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lam, Wendy W. T.</creatorcontrib><creatorcontrib>Bonanno, George A.</creatorcontrib><creatorcontrib>Mancini, Anthony D.</creatorcontrib><creatorcontrib>Ho, Samuel</creatorcontrib><creatorcontrib>Chan, Miranda</creatorcontrib><creatorcontrib>Hung, Wai Ka</creatorcontrib><creatorcontrib>Or, Amy</creatorcontrib><creatorcontrib>Fielding, Richard</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Psycho-oncology (Chichester, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lam, Wendy W. T.</au><au>Bonanno, George A.</au><au>Mancini, Anthony D.</au><au>Ho, Samuel</au><au>Chan, Miranda</au><au>Hung, Wai Ka</au><au>Or, Amy</au><au>Fielding, Richard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trajectories of psychological distress among Chinese women diagnosed with breast cancer</atitle><jtitle>Psycho-oncology (Chichester, England)</jtitle><addtitle>Psycho-Oncology</addtitle><date>2010-10</date><risdate>2010</risdate><volume>19</volume><issue>10</issue><spage>1044</spage><epage>1051</epage><pages>1044-1051</pages><issn>1057-9249</issn><eissn>1099-1611</eissn><coden>POJCEE</coden><abstract>Background: The distinct trajectories of psychological distress over the first year of the diagnosis with breast cancer (BC) and its determinants have not been explored.
Methods: 285 of 405 Chinese women receiving surgery for BC were assessed at 5‐day, 1‐month, 4‐month, and 8‐month post‐surgery on measures of psychological distress, optimism, treatment decision‐making (TDM) difficulties, satisfaction with treatment outcome, satisfaction with medical consultation, and physical symptom distress. Latent growth mixture modelling identified trajectories of psychological response to BC. Multinominal logistic regression compared TDM difficulties, satisfaction with treatment outcome, satisfaction with medical consultation, optimism, and physical symptom distress, by distress pattern adjusted for age, education, employment status, and stage of disease.
Results: Four distinct trajectories of distress were identified, namely, resilience (66%), chronic distress (15%), recovered (12%), and delayed‐recovery (7%). TDM difficulties, optimism, satisfaction with consultation, and physical symptom distress predicted distress trajectories. Psychologically resilient women had less physical symptom distress at early post‐surgery compared with women with other distress patterns. Compared with the resilient group, women in the recovered or chronic distress groups experienced greater TDM difficulties, whereas women in the delayed‐recovery group reported greater dissatisfaction with the initial medical consultation. Women in the chronic distress group reported greater pessimistic outlook.
Conclusion: Optimism and better early post‐operative treatment outcomes predicted resilience to distress. Pre‐operative interventions helping women to establish a realistic expectation of treatment outcome may minimize disappointment with treatment outcome and resultant distress, whereas post‐operative rehabilitation should focus on symptom management. Copyright © 2009 John Wiley & Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>20014074</pmid><doi>10.1002/pon.1658</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adaptation, Psychological Adult Asian Continental Ancestry Group - psychology Asian people Breast cancer Breast Neoplasms - diagnosis Breast Neoplasms - ethnology Breast Neoplasms - psychology Breast Neoplasms - surgery Chinese women Clinical outcomes Consultation Decision Making distress Emotional disorders Female Follow-Up Studies Hong Kong Humans Illness Behavior Logistic Models Mastectomy - psychology Medical diagnosis Middle Aged Models, Statistical Oncology Optimism Physical symptoms Psychological distress Psychometrics - statistics & numerical data Regression analysis resilience Resilience, Psychological Stress, Psychological - ethnology Treatment Outcome Women Womens health |
| title | Trajectories of psychological distress among Chinese women diagnosed with breast cancer |
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